Moonan, Kara
Moonan, Kara is an individual health care provider with primary practice located at 968 Fairfield Ave , Bridgeport CT 06605-1116. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Moonan, Kara can be contacted via phone (203) 330-6000.Contact Information
Primary practice address
968 Fairfield Ave
Bridgeport CT 06605-1116
Phone: (203) 330-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 088288 | Connecticut |
| Nursing Service Providers / Pediatrics | 163WP0200X | 088288 | Connecticut |
Profile Details
| NPI number | 1982915666 |
|---|---|
| LBN Legal business name | Moonan, Kara |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2010 |
| Last updated | May 12th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982915666 | NPPES |
| Connecticut | MEDICAID | 004236130 |
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